Breanne Lindsay Novak, MSED
Specialist in Castleton, NY. Individual provider (NPI-1).
NPI number1124547740
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1124547740
- Entity type
- Individual (NPI-1)
- Name
- Breanne Lindsay Novak
- Credential
- MSED
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2017
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1231335181 | NY | Yes |
| 174400000X | Specialist | 759566131 | NY |
Practice location
1477 S Schodack RdCastleton, NY 12033-9644
Phone 518-477-7103
Mailing address
1477 S Schodack RdCastleton, NY 12033-9644
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All 14 Specialist providers in Castleton · All 199 providers in Castleton
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